How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Facility | None | $25.12 | $25.12 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $25.12 | Professional | None | $17.78 | $25.12 | $25.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 Typical Low $13.49 Median $14.13 Typical High $16.22 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 | $13.49 | $14.13 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $18.62 Typical High $69.18 | Facility | None | $17.78 | $18.62 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $91.20 | Professional | None | $9.77 | $15.14 | $91.20 |
United Setting Facility Modifier None Typical Low $7.76 Median $15.14 Typical High $21.88 | Facility | None | $7.76 | $15.14 | $21.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $13.18 | Professional | None | $9.12 | $10.96 | $13.18 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $8.91 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $3.55 | $5.01 | $5.01 |
Where Alabama sits
The same service costs 3.6 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 48th of 51
$15.14
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.